MALLORY BURKE

TAMPA, FL
NPI1134779812
Former NameMALLORY BASTIAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9112457)
Enumeration Date2019-09-16
Last Update Date2025-01-18
Business Address
Ms. MALLORY BURKE PA
1 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 813-844-7000
Mailing Address
Ms. MALLORY BURKE PA
5422 BAYSHORE BLVD
TAMPA, FL 33611-4122
Phone number:
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